Payer Strategy Specialist

Why Charlie Health

Millions of people across the country are navigating mental health conditions substance use disorders and eating disorders but too often theyre met with barriers to care. From limited local options and long wait times to treatment that lacks personalization behavioral healthcare can leave people feeling unseen and unsupported.

Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized virtual care rooted in connectionbetween clients and clinicians care teams loved ones and the communities that support them. By focusing on people with complex needs were expanding access to meaningful care and driving better outcomes from the comfort of home.

As a rapidly growing organization were reaching more communities every day and building a team thats redefining what behavioral health treatment can look like. If youre ready to use your skills to drive lasting change and help more people access the care they deserve wed love to meet you.

About the Role

This role is responsible for overseeing and managing the verification of benefits process ensuring efficient accurate policy reviews and effectively handling referral complexities. Obtaining accurate benefits is the first step in the financial process meaning accuracy is key as it determines patient responsibility and our ability to get reimbursed for services.

Our team is composed of passionate forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. We are looking for a candidate who is inspired by our mission and excited by the opportunity to build a business that will impact millions of lives in a profound way.

Responsibilities

• Collect and analyze data from various sources including payer policies reimbursement trends market access and formulary status to inform payer strategies.
• Monitor and assess payer trends including reimbursement levels formulary placement and health policy changes to help predict and address potential impacts on product access.
• Support the development of market access strategies working cross-functionally with Commercial Strategy RCM and other teams.
• Prepare reports and presentations summarizing key insights payer feedback and market dynamics for senior leadership.
• Support the tracking and analysis of payer performance metrics to measure the effectiveness of access and reimbursement strategies.
• Help maintain and update databases and tools used to track payer access and reimbursement status.
• Provide recommendations on payer strategy adjustments based on evolving market conditions or payer behavior.

Requirements

Benefits

Charlie Health is pleased to offer comprehensive benefits to all full-time exempt employees. Read more about our benefits here . #LI-HYBRID

Our Values

Please do not call our public clinical admissions line in regard to this or any other job posting.

Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health please go directly to our Careers Page : Charlie Health will never ask you to pay a fee or download software as part of the interview process with our addition Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent from @ email addresses. Legitimate emails will never originate from or other commercial email services.

Recruiting agencies please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner and we will not pay any fee associated with unsolicited referrals.

At Charlie Health we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people.

Charlie Health applicants are assessed solely on their qualifications for the role without regard to disability or need for accommodation.

By clicking Submit application below you agree to Charlie Healthsand Terms of Service.

By submitting your application you agree to receive SMS messages from Charlie Health regarding your application. Message and data rates may apply. Message frequency varies. You can reply STOP to opt out at any time. For help reply HELP.

Required Experience :

IC

Key Skills

Marketing,Data Visualization,Tableau,Customer Segmentation,Microsoft Powerpoint,Investment Banking,Strategic Planning,Financial Modeling,Customer relationship management,Management Consulting,Google Suite,Analytics

Employment Type : Full Time

Experience : years

Vacancy : 1